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Hormonelle & Reproduktive Gesundheit

Hormonersatztherapie (HRT)

Die Hormonersatztherapie hilft bei der Bewältigung der Symptome der Menopause, indem sie den sinkenden Hormonspiegel ergänzt.

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Dr. J. Vázquez

Dr. J. Vázquez

Facharzt für Allgemeinmedizin | REG: 282889782

Rezensiert am:

Dr. Josefina Vázquez ist eine erfahrene Ärztin mit über drei Jahren Erfahrung in der Notfallmedizin, Reanimation und spezialisierten Transporten.

Hormone Replacement Therapy (HRT)

What Is Hormone Replacement Therapy (HRT)?

Hormone Replacement Therapy (HRT) is a treatment used to relieve symptoms of menopause, which occurs when the body produces less oestrogen and progesterone.

HRT replaces these hormones to help manage symptoms such as:

  • Hot flushes and night sweats
  • Vaginal dryness and discomfort
  • Mood swings and sleep disturbances
  • Osteoporosis prevention

HRT can be taken in different forms, such as tablets, patches, gels, creams, or vaginal preparations. The type of HRT recommended depends on individual health factors and the severity of symptoms.

Who is HRT suitable for?

HRT may be a good option if you:

  • Experience moderate to severe menopausal symptoms that affect daily life.
  • Have early menopause or ovarian insufficiency before the age of 40.
  • Need protection against osteoporosis and have risk factors such as a family history of fractures.

However, HRT may not be suitable if you:

  • Have a history of breast cancer, blood clots, or heart disease.
  • Experience unexplained vaginal bleeding.
  • Have liver disease or other contraindications.

How does HRT work, and what are the options?

HRT can be taken in different forms, depending on individual needs:

  • Tablets – Oral options like Estramon, Zumenonund Femoston provide systemic hormone replacement.
  • Patches – Dermestril is a transdermal patch that delivers hormones through the skin.
  • Gels – Gynokadin gel is applied directly to the skin for absorption.
  • Vaginal creams and tablets – Oekolp and Clodin are local oestrogen treatments for vaginal dryness.

HRT can also be:

  • Oestrogen-only HRT (for women who have had a hysterectomy).
  • Combined HRT (oestrogen + progesterone) for women with an intact uterus to protect against endometrial cancer.

There can be a lot of benefits when you use HRT:

  • Relieves menopause symptoms – Reduces hot flushes, mood swings, and vaginal discomfort.
  • Supports bone health – Lowers the risk of osteoporosis and fractures.
  • May improve heart health – When started before age 60 or within 10 years of menopause, HRT may reduce cardiovascular disease risk. However, starting HRT after age 60 may increase the risk of heart disease and stroke
  • Enhances quality of life – Helps with energy levels, sleep, and overall well-being.

While HRT has benefits, there are some considerations:

  • Breast cancer risk – Long-term use of combined HRT may slightly increase risk, even after stopping HRT.
  • Blood clot risk – HRT increases the risk of deep vein thrombosis (DVT) and stroke, but patches and gels carry a lower risk.

Häufig gestellte Fragen

Hier erhalten Sie Antworten auf häufig gestellte Fragen zu Hormone Replacement Therapy (HRT)

There is no set limit, but many women take it for several years.
Yes, but it is most beneficial within 10 years of menopause. Starting later may increase risks.
There is no strong evidence that HRT causes weight gain. Some women notice bloating, but this often improves over time.
Yes, non-hormonal options like lifestyle changes, supplements, and medications such as SSRIs can help with symptoms.
It is recommended to gradually reduce the dose rather than stopping suddenly to avoid symptom recurrence.

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